Permit CITY OF TIGARD MECHANICAL PERMIT
11
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00205
T t G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/15/2013
Parcel: 1 S 133CC70032
Jurisdiction: Tigard
Site address: 14120 SW BARROWS RD 2
Project: Brandt Subdivision: SCHOLLS VILLAGE CONDO STAGE 5 Lot: 3 -2
Project Description: (1) A/C installation Placement of NC must comply with manufacturer's clearance requirements
Contractor: FOUR SEASONS HEATING & NC INC. Owner: BRANDT, JESSE N & KYLEE J
1005 INDUSTRIAL PARKWAY 14120 SW BARROWS RD, UNIT 2
NEWBERG, OR 97132 TIGARD, OR 97223
PHONE: 503 - 538 -1950 PHONE: 503 - 347 -0414
FAX: 503 - 538 -0165
FEES
Specifics: Description Date Amount
Air Conditioning 04/15/2013 $46.75
Type of Use: SFA 12% State Surcharge - Mechanical 04/15/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 04/15/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B y : A/WILLI JL ,.i f Permittee Signature: vQ iii- PPGfe4710/(
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM Four Seasons Heating TO.5035081060 04/15/2013 10.59 00 #530 P.003/004
Mechanical Permit Apnlicati4 QED
City of Tigard 0. i,
.3 �
C tf I S ! + Permit No 3 - oo
I II _ 13125 SW hall Blvd„ Tigard. OR 97223 PR 1 J 2013 Plan Review
E Phone' 503.718.2439 Fax: 503.598.1 UatelHy ()otter Pcrmn
I I i; I : Inspection Line: 503.639.4175 j'��/(��'rj ,►D n+ttG Keaey turn ® see Tone 2 for
Interact www,tigard -or. +� + �/x + +Gt11W Not itiaI/Mnixrt f j c, Supplemental Irferm•Uoa `
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
--•""" " Mechanical permit fees* are based on the value of the work
9 New construction la Addition /ulteration/replacemcol performed. Indicate the value (rounded to the nearest dollar) of all
9 [Demolition ❑ Other: mechanical materials, equipment. labor. overhead. and profit
._ - Value: $
- CATECORY OF CONSTRUCTION I'lON RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
V I and 2- famil d welling ❑ Commercial /industrial ❑ Accessory building Par speclaltrt [onnarlaraseaueckttrc
❑ Multi- family ❑ Master builder ❑ Other, Description Qty. I Ea. T nie l
JOB SITE INFORMATION AND LOCATION Heatinp/awl�n : _.
-- Air conditioning �
� t n�] i) - (requires site plan 'showing placement) ( 46.75 `1 �' . 1 5 ,
Job site address: i W ! �; s L,3 { "7f IrrC t *c
_ :. Furnace I (10,(x)0 8'1'U (duclsrvetust _46.75
city/State/LIP: - T �,, , y � [1 r� 'j 1 .�
• � Furnace 1'l)
ucG 100.000+ H Idw u/veuls{ 54.91
Suite/bldg. /apt. no.: I Project name: ' y - ± r Heal pump
_ -- -........ - (requires site plan *bowing rime nom) 61.06
Cross street/directions to job site; Duct work 23.32
ll dronic hot wonCr s stem
_.
Residential boiler (radiator or - t
hydrtmic) 23.32
Unit heaters (fuel -type, not electric).
in -wall, in -duct. suspended. etc. 46.75
Flue/ventfor any of above 23.32
Subdivision: -, Other: 23,32
Tax map/parcel rat.: Other fuel appIisaces:
DESCRIPTION OF WORK Water heater - 23 .32 _
...,. o , t e laceJrnsul 33.39
A r . (. rri e.3- gas - . ...
nG�� f � � ll �• � � }ti Plot, vent for water heater or gas
-- reP 23.32
Lug lighter (gas) 23.32 •
Wood/pellet stove 33.39
--
Wood fire p ine cit>acrt - __ 23.32 _.
_ _:.... ('himney /toter /Otldvertt 23.32
-.. PROPERTY OWNER ❑ TENANT he 23.32 `
FY
Name: * . '?7 y'a. . Environmental exhaust and ventilation: •-
.- -.. Range �. �� Range hood/vther kitchen
Address; 1 t,..1 1.. ? f j C ,L j... ,'rap i...lr -# t .......- cquipmc nt ._ 33.39
eity/ytate/ZIP: ...r •0 (2, Cl 7 3 Clothes dryer exhaust 33.39
- Single-duet exhaust (bathrooms,
Phone: ( ' ) I. - hay: ( ) toilet compartments, utility rooms) 2
A PPLICANT ❑ CONTACT PERSON Attic/era r ace fans 23.32 _
Other: 23.32
Business name: FnIIC Seas • n,s Heating____ .. F piping:
Contact name; & Air Conditioning, In n , sid•15 for that four, $4.03 for each additional
1UUOW U r lr Y'' Furnace, etG.
Address: _ .....
)`�Pw } ' Rrq (1R 47132 _ G us h eat pump
City /SUUe/LIP: _ Walt/suspended/unit heater ,_ .
y � Water heater
Phorne:(r 5�` (C1 =. Q I•ax::(7 �3��' /y1(o. _.. -
Fircp
I: -nail: d 1 0 1r " Q i r . G% II", Rmtge .... _- • .
CONT CIO ♦�.,,� Barbecue 4 . ...
- name: Clothes dryer (gas)
Business name: Air Conditioning, Inc caner:
1005 Industrial Pkwy
Address.: MECHANICAL PERMIT FEES"
' "NEWbcfg;•O :2.. ...::._...
C ity /stalr./ZIP: Spate b , IS -
_ _ - -. Minimum permit fee (590.00) n •0.
P hone: (
__State surcharge (12
) Fax; (563) s .. :2 >5 .. S _ .._
3. 535 -�►�u %nfnemmtit)
r�
C'C'N ii..: ` ' "1 I .. TOTAL ( 1. °/• of permit fns) /i0 . S 12
Nan review
/ (his termit a iYGvytion expires if FEE
- _ l�n.Acs
,����� { /} �j� I I I 1 permit ix nut ubtsiraed within 180
Authorized signature: � Q�.`(Jilat"-7 4"") dr s after it has been accepted ry complete.
3 Pr1111 name: / p 1 Date: y -ls . L3 ...- • tug mclhialo3opy �c+ by rnd'ounty Building lnduwry 5ervue Bkrord
1 VM,ildinglPennas'MCC PCT n Mw; 00m7' I i.w.401 rl' (t ino^2r:crANiliD)
FROM Four Seasons Heating TO:6035981960 04/15/2013 10:59:13 #539 P.004/004
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FROM:Four Seasons Heating TO:5035981060 04/15/2013 10:58:46 #530 P.001/004
A4UE•gg t
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SEASONS r =
yc4 AIR CO"'
FAX
DATE: TIME: 10 : S S�
TO: City of Tigard
ATTN: Permits
RE: Please issue and fax copy of Permit as soon as possible.
NUMBER OF PAGES (including cover): It
FROM: Four Seasons Heating & Air Conditioning
1005 Industrial Parkway
Newberg, OR 97132
Phone: 503 - 538 -1950
tral 14.w
Fax: 503- 538 -0165 411p. LA71 W.C
Sent By: Deborah
E - Mail: deborahQ fourseasonsheatair.com
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14120 SW BARROWS RD 2, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
05/10/2013 00:00
MEC2013-00205
Scheduled
Minor 359312
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14120 SW BARROWS RD 2, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
05/10/2013 00:00
MEC2013-00205
PASS - No C of O
Minor 359312
Violation Summary:
Inspector Contractor